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Psychological well-being during the great recession: Changes in mental health care utilization in an occupational cohort

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  • Modrek, S.
  • Hamad, R.
  • Cullen, M.R.

Abstract

Objectives. We examined the mental health effects of the Great Recession of 2008 to 2009 on workers who remained continuously employed and insured. Methods. We examined utilization trends for mental health services and medications during 2007 to 2012 among a panel of workers in the 25 largest plants, located in 15 states, of a US manufacturing firm. We used piecewise regression to compare trends from 2007 to 2010 in service and medication use before and after 2009, the year of mass layoffs at the firm and the peak of the recession. Our models accounted for changes in county-level unemployment rates and individual level fixed effects. Results. Mental health inpatient and outpatient visits and the yearly supply of mental health-related medications increased among all workers after 2009. The magnitude of the increase in medication usage was higher for workers at plants with more layoffs. Conclusions. The negative effects of the recession on mental health extend to employed individuals, a group considered at lower risk of psychological distress.

Suggested Citation

  • Modrek, S. & Hamad, R. & Cullen, M.R., 2015. "Psychological well-being during the great recession: Changes in mental health care utilization in an occupational cohort," American Journal of Public Health, American Public Health Association, vol. 105(2), pages 304-310.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2014.302219)_5
    DOI: 10.2105/AJPH.2014.302219)
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    Cited by:

    1. Kai Yuan Kuan & Mark R. Cullen & Sepideh Modrek, 2015. "Racial Disparities in Savings Behavior for a Continuously Employed Cohort," NBER Working Papers 20937, National Bureau of Economic Research, Inc.
    2. Fernando Navarro-Mateu & Mª José Tormo & Diego Salmerón & Gemma Vilagut & Carmen Navarro & Guadalupe Ruíz-Merino & Teresa Escámez & Javier Júdez & Salvador Martínez & Ron C Kessler & Jordi Alonso, 2015. "Prevalence of Mental Disorders in the South-East of Spain, One of the European Regions Most Affected by the Economic Crisis: The Cross-Sectional PEGASUS-Murcia Project," PLOS ONE, Public Library of Science, vol. 10(9), pages 1-22, September.
    3. Aretz, Benjamin, 2022. "The short- and long-term effects of the Great Recession on late-life depression in Europe: The role of area deprivation," Social Science & Medicine, Elsevier, vol. 294(C).
    4. Christian Gunadi & Hanbyul Ryu, 2021. "Does the rise of robotic technology make people healthier?," Health Economics, John Wiley & Sons, Ltd., vol. 30(9), pages 2047-2062, September.
    5. Avdic, Daniel & de New, Sonja C. & Kamhöfer, Daniel A., 2021. "Economic downturns and mental health in Germany," European Economic Review, Elsevier, vol. 140(C).
    6. Jofre-Bonet, Mireia & Serra-Sastre, Victoria & Vandoros, Sotiris, 2018. "The impact of the Great Recession on health-related risk factors, behaviour and outcomes in England," Social Science & Medicine, Elsevier, vol. 197(C), pages 213-225.
    7. Jofre-Bonet, M. & Serra-Sastre, V. & Vandoros, S., 2016. "Better Health in Times of Hardship?," Working Papers 16/09, Department of Economics, City University London.
    8. Yuxi Wang & Giovanni Fattore, 2020. "The impact of the great economic crisis on mental health care in Italy," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 21(8), pages 1259-1272, November.
    9. Lowenstein, Christopher, 2024. "“Deaths of despair” over the business cycle: New estimates from a shift-share instrumental variables approach," Economics & Human Biology, Elsevier, vol. 53(C).
    10. Bhashkar Mazumder, 2023. "The Effects of Prescription Drug Monitoring Programs on Labor Market Activity and Credit Outcomes," Working Paper Series WP 2023-13, Federal Reserve Bank of Chicago.

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